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Region 151 Scholarship Application
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Email
*
Your email
All scholarships will cover the region fees only. Parents will be responsible for the $20 AYSO National Membership Fee.
Parent Name (First and Last)
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Your answer
Home Address
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Your answer
City
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Your answer
Zipcode
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Your answer
Phone Number
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Your answer
Player Name(s) & Birth Date(s)
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Type your child's name and birth date, if you have more than one child, press ENTER to add another child
Your answer
Does the child (or family) qualify for the free/reduced school lunch program?
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Yes
No
Annual Household Income
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You will be asked to send us documentation to verify your income
Your answer
Do you receive government assistance?
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Yes
No
Any additional information you'd like to supply regarding your request for a scholarship
Your answer
AYSO is an all volunteer organization. What volunteer position are you willing to assist with?
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Head Coach, Field Painter, Net Setup (every week), Division Coordinator, Assistant Registrar, Social Media Manager, Graphic Design/Marketing Manager
Your answer
Acknowledgement: I have answered honestly about my current situation. I understand there are various elements such as availability of funds, family need, and contributions to the Region that may factor into the decision process. I understand that I will be responsible for the $20 AYSO National Membership Fee for each child.
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Type your full name below - this will be regarded as an electronic signature
Your answer
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